A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: implementation evaluation of the Kerala Diabetes Prevention Program

Implementation Science : IS
Z AzizB Oldenburg

Abstract

While several efficacy trials have demonstrated diabetes risk reduction through targeting key lifestyle behaviours, there is a significant evidence gap in relation to the successful implementation of such interventions in low- and middle-income countries (LMICs). This paper evaluates the implementation of a cluster randomised controlled trial of a group-based lifestyle intervention among individuals at high-risk of developing type 2 diabetes mellitus (T2DM) in the state of Kerala, India. Our aim is to uncover provider-, participant- and community-level factors salient to successful implementation and transferable to other LMICs. The 12-month intervention program consisted of (1) a group-based peer-support program consisting of 15 sessions over a period of 12 months for high-risk individuals, (2) peer leader (PL) training and ongoing support for intervention delivery, (3) diabetes education resource materials and (4) strategies to stimulate broader community engagement. The evaluation was informed by the RE-AIM and PIPE frameworks. Provider-level factors: Twenty-nine (29/30, 97%) intervention groups organised all 15 sessions. A 2-day PL training was attended by 51(85%) of 60 PLs. The PL handbook was found to be 'very useful' by ...Continue Reading

References

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Dec 17, 2015·Implementation Science : IS·Zahra AzizBrian Oldenburg

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Citations

Feb 1, 2020·Translational Behavioral Medicine·Tilahun Nigatu HareguBrian Oldenburg
Oct 23, 2019·International Journal of Environmental Research and Public Health·Zvjezdana GvozdanovićNada Prlić
Mar 14, 2020·BMC Endocrine Disorders·Jemina KiveläUNKNOWN Feel4Diabetes research group
Jun 14, 2019·Contemporary Clinical Trials Communications·Thirunavukkarasu SathishBrian Oldenburg
Aug 18, 2021·Endocrinology and Metabolism Clinics of North America·Mary Beth WeberMegha Shah
Feb 7, 2022·Implementation Science Communications·Tineke E DineenMary E Jung

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Software Mentioned

AIM
SPSS
PIPE
DPP
RE

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